Mitra Derakhshan
ActiveCalifornia license 49090
License
- Licensed by
- Dental Board of California
- License number
- 49090
- Status
- Active (Current)
- First issued
- October 29, 2001
- Expires
- December 31, 2027
- License holder
- Mitra Derakhshan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
794 Grant St
Herndon, VA 20170-4631
Herndon, VA 20170-4631
Fairfax County